Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366500852 Individual Practitioner Male Practitioner

Dr. Michael P Vercimak , MD

Surgery • Mendota, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Vercimak, MD is a registered healthcare professional specializing in Surgery in Mendota, IL. Practice services are available at 1405 E 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1405 E 12th St
Suite 200

Mendota, IL 613421495

Telephone 8155393831
Fax 8155384202
Associated Practice Facility / Clinic
🏢 Associated Physicians, Sc Facility NPI 1265562151

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mendota, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Mendota, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036067743

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036067743 (IL)
Commercial Insurance / Payer ID Bcbs
0005000301 (IL)
Commercial Insurance / Payer ID Rr Medicare
020002934
Commercial Insurance / Payer ID Palmetto
020002934
Commercial Insurance / Payer ID Gba
020002934

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jonathan Edwards

Nurse Practitioner - Family

NPI 1164820312
Joy Preciado

Nurse Practitioner - Family

NPI 1306216098
NPI 1447257316

Doctor of Osteopathic Medicine (D.O.)

Stacy Piller , APN

Nurse Practitioner - Primary Care

NPI 1508319914

Advanced Practice Nurse

Caitlin Engels-Arteaga

Physician Assistant - Medical

NPI 1790140580
Dr. Rebecca Salvani , MD

Obstetrics & Gynecology

NPI 1801982327

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2011

Registered at 1405 E 12TH ST, SUITE 200, MENDOTA, IL 613421495 (Tel: 8155393831)

📍
Updated Business Mailing Address December 22, 2011

Registered at 1405 E 12TH ST, SUITE 200, MENDOTA, IL 613421495 (Tel: 8155393831)

👤
Provider Name / Credentials Updated December 22, 2011

Recorded as MICHAEL VERCIMAK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2011

Surgery (License #036067743 in IL)

🟢
Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Vercimak. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Vercimak

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366500852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: December 22, 2011
Sole Proprietor: No

Mailing Address

1405 E 12th St, Suite 200

Mendota, IL 613421495

Phone: 8155393831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.